Individual provider Active NPI

Brent Cooper Orr, ATP

  • Other Technician
  • Fort Worth, TX
National Provider Identifier
1447548391
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
7415 Whitehall Street Suite 118
Ft Worth, TX 76118
Phone
(817) 589-0759
Fax
(817) 284-1798
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X TX Primary

Addresses

Primary practice location

7415 Whitehall Street Suite 118
Ft Worth, TX 76118

Mailing address

7415 Whitehall Street Suite 118
Ft Worth, TX 76118
Phone (817) 589-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1447548391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 WHITEHALL STREET SUITE 118",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76118",
            "telephone_number": "817-589-0759",
            "fax_number": "817-284-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 WHITEHALL STREET SUITE 118",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76118",
            "telephone_number": "817-589-0759",
            "fax_number": "817-284-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "BRENT",
        "middle_name": "COOPER",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.